Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $7,943.28 / $20,892.96	Facility		$1,202.26	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $707.95 / $1,698.24	Professional		$562.34	$707.95	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $10,000.00	Facility		$1,000.00	$1,230.27	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,023.29 / $1,949.84	Professional		$602.56	$1,023.29	$1,949.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,288.25 / $8,128.31	Facility		$660.69	$1,288.25	$8,128.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,230.27 / $6,309.57	Professional		$602.56	$1,230.27	$6,309.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $288.40	Professional		$32.36	$33.11	$288.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,174.90 / $1,288.25	Facility		$933.25	$1,174.90	$1,288.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $870.96 / $2,187.76	Facility		$851.14	$870.96	$2,187.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,348.96 / $1,819.70	Professional		$870.96	$1,348.96	$1,819.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $20,417.38 / $38,904.51	Facility		$13,803.84	$20,417.38	$38,904.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,202.26 / $1,621.81	Professional		$851.14	$1,202.26	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $21,379.62 / $41,686.94	Facility		$2,454.71	$21,379.62	$41,686.94
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $1,698.24	Professional		$630.96	$912.01	$1,698.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $691.83 / $1,148.15	Professional		$602.56	$691.83	$1,148.15